Graceful Speech, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

019729 Issued in NY

Legal business name

GRACEFUL SPEECH, LLC

Practice address

130 N King St
Elmont, NY 11003-4229

Phone

(718) 813-4234

Fax

(516) 216-1975

NPI assigned

Mar 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Aisha Catherine Demosthenes, SLP

Title

Speech Language Pathologist

Phone

(718) 813-4234

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1558754234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N KING ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034229",
            "telephone_number": "718-813-4234",
            "fax_number": "516-216-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N KING ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034229",
            "telephone_number": "718-813-4234",
            "fax_number": "516-216-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "DEMOSTHENES",
        "authorized_official_first_name": "AISHA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "718-813-4234",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "019729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Gonzalez
• Good Care Physical Therapy, P.C.
• Shimi Gopalakrishnan, PHARMD.
• Martine Gouin
• Christha Gourdet
• Gilda Graff, PSYCHOANALYST
• Marian Graham
• Pearl Joyce Graham, ANP
• Lavern Grandison
• Anika Grant, LPN

• Early Intervention Provider Agency in Elmont, NY
• Providers in Elmont, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.